/419 Date : 00.00.0000/00.00.0000
Name of the Patient : Abc Xyzndra Glmn / M / 35 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain and MR Venogram.
CLINICAL PROFILE :
H/O seizures, vomiting and giddiness on 00.00.0000.
Alleged H/O fall of a heavy object on head while working with pesticide.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer.
5 mm thick T1 Weighted coronal images.
Intracranial MR Venogram was obtained using a 2D TOF techique.
There are ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images along the cortex in the frontal regions bilaterally. These lesions appear hypointense to grey matter on the T1 Weighted images. These lesions do not enhance after contrast administration.
There is no focal area of abnormal enhancement within the brain
parenchyma or along the meninges on this study.
- 2 - Scan-00005
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRV :
There is absence of normal flow signal within the anterior aspect of the superior sagittal sinus. This may suggests the presence of a thrombus.
The rest of the visualized deep and dural venous sinuses are unremarkable.
The MRI/MRV features are suggestive of :
1. A thrombus within the anterior aspect of the superior sagittal sinus.
2. Areas of altered signal within the frontal lobes bilaterally most likely represent venous infarcts.